The impact of preconditioning exercise on the vascular response to an oral glucose challenge

Appl Physiol Nutr Metab. 2021 May;46(5):443-451. doi: 10.1139/apnm-2020-0559. Epub 2020 Oct 28.

Abstract

Exercise elicits direct benefits to insulin sensitivity but may also indirectly improve glucose uptake by hemodynamic conditioning of the vasculature. The purpose of this study was to examine the modifying effect of 3 different types of exercise on the vascular response to an oral glucose challenge. Twenty healthy adults (9 women, 11 men; aged 23 ± 3 years) completed a standard oral glucose tolerance test (OGTT) at rest, as well as 1.5 hours after moderate continuous cycling exercise (30 min; 65% peak oxygen consumption), high-intensity interval cycling exercise (10 × 1 min at 90% peak heart rate), and lower-load higher-repetition resistance exercise (25-35 repetitions/set, 3 sets). Brachial and superficial femoral artery blood flow, conductance, and oscillatory shear index were measured throughout the OGTT. Regardless of rested state or exercise preconditioning, the OGTT induced reductions in brachial artery blood flow and conductance (p < 0.001), and transient increases in brachial and superficial femoral artery oscillatory shear index and retrograde blood flow (p < 0.01). Continuous cycling and resistance exercise were followed with a small degree of protection against prolonged periods of oscillatory flow. Our findings imply transient peripheral vasoconstriction and decreased limb blood flow during a standard OGTT, for which prior exercise was unable to prevent in healthy adults. Novelty: We investigated the impact of continuous, interval, and resistance exercise on the hemodynamic response to an OGTT. Our findings suggest decreased upper-limb blood flow during an OGTT is not prevented by prior exercise in healthy adults.

Keywords: artère brachiale; artère fémorale superficielle; blood flow; brachial artery; débit sanguin; exercice; exercise; hyperglycemia; hyperglycémie; indice de cisaillement oscillatoire; oral glucose tolerance test; oscillatory shear index; superficial femoral artery; test oral de tolérance au glucose.

MeSH terms

  • Bicycling / physiology
  • Blood Glucose / metabolism
  • Brachial Artery / physiology
  • Female
  • Femoral Artery / physiology
  • Glucose Tolerance Test*
  • Hemodynamics*
  • High-Intensity Interval Training
  • Humans
  • Insulin / blood
  • Male
  • Nitric Oxide / blood
  • Physical Conditioning, Human / methods
  • Physical Conditioning, Human / physiology*
  • Regional Blood Flow
  • Resistance Training
  • Upper Extremity / blood supply
  • Vasoconstriction
  • Young Adult

Substances

  • Blood Glucose
  • Insulin
  • Nitric Oxide